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BACKGROUND Iliac vein injuries usually require surgical intervention due to their high mortality rates. Although conservative management may be applicable in some cases of blunt trauma, the suitability of this approach for treating penetrating injuries remains underexplored. CASE REPORT A 51-year-old man sustained a common iliac vein injury following rectal impalement in a collapsing chair.

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ACR Appropriateness Criteria® Penetrating Torso Trauma.

J Am Coll Radiol

November 2024

Specialty Chair, Ohio State University Wexner Medical Center, Columbus, Ohio.

This document assesses the appropriateness of various imaging studies for acute penetrating trauma to the torso. Penetrating trauma most commonly occurs from gunshots and stabbings, although any object can impale the patient. Anatomic location, type of penetrating trauma, and hemodynamic status are among the many important factors when deciding upon if, what, and when imaging is needed to further evaluate the patient.

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Impalement injury of anorectum-A rare presentation.

Int J Surg Case Rep

September 2024

Department of General Surgery, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India. Electronic address:

Introduction: A rectal impalement injury is a rare type of penetrating injury that involves a solid object being forcefully inserted through anal opening. The removal of such injuries should be planned carefully with preparedness to assess and manage associated injuries in the pelvis and peri-anal region.

Case Description: An elderly female, around 65 years old, had a history of accidental penetration of an iron rod into her anal orifice.

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Article Synopsis
  • Craniofacial penetrating injuries are not common but can involve unusual foreign objects like lunch boxes or wooden branches, leading to severe damage in delicate areas of the head and neck.
  • The report details three cases of such injuries, highlighting the types and severities, with two requiring immediate surgical intervention and one affecting a young child, illustrating the unique challenges posed by these foreign bodies.
  • Effective management of these injuries involves a multidisciplinary approach, emphasizing the need for specialized surgical planning, careful diagnosis, and thorough clinical assessment to ensure successful treatment outcomes.
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Successfully saving a child with destuctive iliac artery damage by hybrid surgery.

J Cardiothorac Surg

July 2024

Department of Vascular Surgery, XuanWu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, Beijing, 100053, China.

Non-iatrogenic trauma of the iliac artery is rarely reported but is always life-threatening. In this report, we describe the case of a child with complete transection and partial disappearance of the iliac artery caused by bicycle handlebar impalement. He experienced catastrophic hemorrhage, malignant arrhythmia, and difficulty in exploring transected vessel stumps.

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